不器用さが疑われる発達障害児に対するCognitive Orientation to daily Occupational Performance（CO-OP）を用いた実践

The Cognitive Orientation to daily Occupational Performance（CO-OP）approach to clumsy developmentally disabled children

要旨：本報告の目的は，限られた介入頻度でも，Cognitive Orientation to daily Occupational Performance（以下，CO-OP）を用いた介入の有用性を示すことである．方法は，2事例の事例報告で，介入はそれぞれ2回（約1ヵ月に1回）であり，その前後を比較した．結果は，CO-OPを用いることで，粗大運動および微細運動スキルどちらの課題でも，スキルを獲得することができた．さらに，最小限の介入頻度で，スキルの獲得およびスキルの般化，転移を導く可能性が示唆された．結論として，CO-OPの適応児の選定に検討の必要性はあるが，認知戦略を発見および使用できる子どもに対しては，有効である可能性が示された．

　Objectives: To examine the effects of limited frequency intervention using the Cognitive Orientation to daily Occupational Performance (CO-OP). Methods: Two cases experienced two interventions over two months, and the effects were compared before and after interventions. Results: Acquisition of both gross and fine motor tasks was possible through CO-OP. Furthermore, the findings suggest that even when used with minimal frequency, the intervention may lead to skill acquisition, skill generalization, and skill transfer. Conclusions: While some consideration is necessary when selecting children suitable for CO-OP, the method has been found to be effective for children capable of discovering and using new cognitive strategies.